Faith after the Fight: Overcoming Doubts and Trauma from Warfare

In the aftermath of intense kinetic battlefield engagements where friendly, civilian, and enemy casualties occur, Christian combat veterans express difficulty reconciling God’s omniscience, omnipresence, and benevolence with their traumatic experience. The result has been prolonged episodes of despondence with God that presents itself as an impediment to continued faith or worse, an outright rejection of His existence. Exposure to the horrors of armed conflict can have a profoundly detrimental effect on a service member’s faith, but a person can begin the process to heal the invisible wounds of spiritual trauma by not abandoning their faith in God but instead clinging to it and finding a resolution to their doubts through an exercise in theodicy; all within a community context with genuine and consistent confidants who serve as mainstays throughout the introspective process

Psychophysiological patterns related to success in a special operation selection course

Actual theaters of operations require fast actions from special operations units with a high level of readiness and survival. Mission accomplishment depends on their psychological and physiological performance. The aim of the present study was to analyze: (1) the physical parameters related with success in a special operation selection course; and (2) the modifications of the psychological profile of recruits before and after a special operation selection course. Fifty-five male soldiers of the Spanish Army (25.1 ± 5.0 years, 1.8 ± 0.1 cm, 76.8 ± 7.9 kg, 24.4 ± 2.5 kg/m2) undertaking a 10-week special operation selection course performed a battery of physiological and psychological tests. Results showed how successful soldiers presented higher leg strength, anaerobic running performance, and cardiovascular response than non-successful soldiers. The psychological values of life engagement test, acceptance and action questionnaire, coping flexibility scale, and perceived stress scale did not present significant differences after the selection course. We can conclude that success in a special operation selection course was related to higher anaerobic and cardiovascular fitness. This special operation selection course did not modify the psychological profile of successful soldiers.Universidad Europea de Madrid, Universidad de la Costa

Impact of real and simulated flights on psychophysiological response of military pilots

Objective: The present research aimed to analyse the autonomic, anxiety, perceived exertion, and self-confidence response during real and simulated flights. Methods: This cross-sectional study participated 12 experienced male pilots (age = 33.08 (5.21)) from the Spanish Air Force. Participants had to complete a real and a simulated flight mission randomly. The heart rate variability (HRV), anxiety, self-confidence, and rating of perceived exertion were collected before and after both manoeuvres, and HRV was also collected during both simulated and real flights. Results: When studying the acute effects of real and simulated flights, the mean heart rate, the R-to-R interval, the cognitive anxiety and the perceived exertion were significantly impacted only by real flights. Furthermore, significant differences in the mean heart rate and RR interval were found when compared to the acute effects of real and simulated flights (with higher acute effects observed in real flights). Additionally, when compared the HRV values during simulated and real flights, significant differences were observed in the RR and heart rate mean (with lower RR interval and higher heart rate mean observed during real flights). Conclusion: Real flights significantly reduced the RR interval and cognitive anxiety while increased the heart rate mean and the rating of perceived exertion, whereas simulated flights did not induce any significant change in the autonomic modulation

Psychophysiological and psychosocial profile of patients attending drug addiction centers

Drug treatment centres provide the highest level of rehab services for patients diagnosed with drug addictions. Most inpatient drug rehab programs focus on medical detox and mental health interventions. However, how to optimize the later remains a challenge. The aim of this study was to examine the psychophysiological and psychosocial profile of patients attending drug addiction centres in comparation with the general population. A total of 105 inpatient drug rehab patients and 50 participants from the general population were compared based on standardized psychophysiological and psychosocial measures. Results of this study suggest that patients attending drug addiction centers differ from general population in several different psychophysiological and psychosocial factors. Patients reported significantly lower levels of physical activity and increased sympathetic responsiveness, and significantly higher levels in loneliness, psychologically inflexibility and neuroticism. The results of this study highlight the importance of address healthy lifestyle behaviors such as sport practice and psychological variables such as loneliness, psychological (in)flexibility and neuroticism to improve current programs aim to prevent or reduce problematic drug consumptions

The impact of nationality on the psychophysiological stress response and academic fulfilment in the final degree dissertation

The aims of this study were: i. to analyze the effect of nationality on the psychophysiological stress response of physiotherapy last year students in their final degree dissertations; and ii. to analyze the relationship between the stress response and academic results according to nationality. We evaluated the autonomic stress response, cortical arousal, distress subjective perception, and objective and subjective academic fulfilment in Spanish, Italian, and French physiotherapy students during their final degree dissertation. Results showed a large anticipatory anxiety response before the dissertation in the three student groups. Only the Spanish group showed an increased tendency in the habituation process, reducing the psychophysiological stress response during the dissertation, while the Italian and French groups maintained a large sympathetic activation until the end of the dissertation. Cortical arousal and subjective perception of distress were similar in the three nationalities. In addition, no correlation between academic fulfilment and autonomic modulation was found. We concluded that there was no nationality effect in the psychophysiological stress response of physiotherapy last year students in their final degree dissertation, all of them showing a large anticipatory anxiety response

Body Composition, Psychological, Cardiovascular, and Physical Activity Factors Related with Academic School Performance

The aim of the present study was to analyse body composition, anxiety, cardiovascular, and physical activity factors related with academic performance of school students as well as to analyse differences, by age, in these factors. We analysed in 266 primary school students’ (8.81 ± 1.62 years, range: 5–13 years) heart rate, anthropometric variables to calculate body mass index, physical activity performance, anxiety levels and academic results by the average of marks. Students were divided in two different groups, firstly by their lower or higher academic performance, and secondly by age. Results showed a negative correlation between academic performance and age, weight, body mass index and trait anxiety variables. Additionally, significant differences were found by age, presenting older students higher scores in body mass index and lower physical activity, trait anxiety, heart rate and academic performance values than younger students. Overweight and obesity may have a great impact in academic performance in children and we pointed out the necessity to establish programs related with healthy habits which include improvements in physical activity and nutrition behaviours with the objective to enhance children’s health general status, psychological profile, cognitive and motor development, and academic performance

Deploying Mindfulness to Gain Cognitive Advantage: Considerations for Military Effectiveness and Well-being

Mindfulness involves paying attention to present moment experience without discursive commentary or emotional reactivity. Mindfulness training (MT) programs aim to promote this mental mode via introduction to specific mindfulness exercises, related in-class discussion, and ongoing engagement in mindfulness exercises. MT is being increasingly offered to high-demand, high-stress military/uniformed and civilian cohorts with a wide array of reported benefits. Herein, we begin by discussing recent theoretical models regarding MT’s mechanisms of action from a cognitive training/cognitive neuroscience perspective, which propose that MT engages and strengthens three key processes [e.g., 1]. These are: 1) attentional orienting, which is the ability to select and sustain attention on a subset of information while remaining undistracted; 2) meta-awareness, which is the ability to monitor one’s ongoing experience with an awareness of doing so; and 3) decentering, which is the ability to view one’s experience at a psychological distance so that biases, mind-sets, and interpretations are viewed as mental processes rather than accurate depictions of reality. Next, we review evidence of MT’s beneficial effects on cognitive, social, and emotional dimensions of human behavior, which are aligned with military frameworks describing the human dimension [e.g., 2]. We then discuss attitudinal impediments to broad adoption of MT in military settings, and propose counterarguments so as to facilitate its implementation. We end by arguing that MT should be considered a key cognitive training tool by which to achieve cognitive advantage in the service of improved operational readiness and effectiveness, as well as greater resilience and well-being in military/uniformed cohorts

Effect of Psychophysiological Stress and Socio-Emotional Competencies on the Clinical Performance of Nursing Students during a Simulation Practice

[EN] Psychophysiological stress can affect the cognitive response and effective learning of students during medical simulation practices. This study aimed to explore the effect of psychophysiological stress and socio-emotional competencies on clinical performance during a simulation experience. A pre-test/post-test design was used to assess physiological (blood pressure, heart rate and blood oxygen saturation) and psychological parameters (stress and anxiety) as well as socio-emotional skills (cognitive load, self-efficacy and motivation) in nursing students (n = 40) before and after the simulation of a cardiopulmonary resuscitation practice. Physiological responses showed statistically significant differences between pre-test and post-test conditions for blood pressure and heart rate (p < 0.0001). Moderate and significant correlations were also observed when comparing self-efficacy with stress (r = −0.445, p = 0.004), anxiety (r = −0.467, p = 0.002) and motivation (r = −0.406, p = 0.009) measures. Similarly, cognitive-load dimensions were significantly associated with either physiological (r = −0.335, p = 0.034) or psychological (r = −0.448, p = 0.004) indicators. The analysis of multiple regression models revealed a relationship between the effectiveness of the simulated experience, post-test blood oxygen saturation, heart rate, workload and self-efficacy (R2 = 0.490; F (3, 39) = 8.305; p < 0.0001; d = 1.663). Therefore, the evaluation of psychophysiological parameters and socio-emotional skills seems to provide a promising framework for predicting the quality of simulated clinical practices.S

Are Crohn’s Disease Patients Limited in Sport Practise? An UltraEndurance Case–Control Study Response

The aim of this study was to analyze the psychophysiological response of a Crohn’s Disease patient in an ultra-endurance event. The psychophysiological responses of a Crohn’s Disease and non Crohn’s Disease participant were analysed before during and after an 8 h ultra-endurance running event. Results showed how Crohn’s patient presented a similar psychophysiological response than non-Crohn’s participant in the ultra-endurance event, except for a higher pre- and post-event sym pathetic modulation, lower event sympathetic tone, and lower event body temperature. This study could contribute to improving physical activity recommendations for persons with Crohn’s Disease and open a new research line for an improved understanding of psychophysiological modifications of Crohn’s Disease patients during exercise.Project 2020/UEM4

Exploring heart rate variability as a human performance optimisation metric for law enforcement

Tactical personnel, inclusive of police officers, face complex challenges over potentially decades-long careers. These cumulative exposures may manifest as allostatic load, impairing health, fitness, and performance. Allostatic load describes increased vulnerability to psychophysiological dysfunction resulting from prolonged overstress exposure. Monitoring for this risk is an important step towards its mitigation. Heart rate variability (HRV) analysis can noninvasively acquire psychophysiological overstress information in tactical environments. HRV theory and principles are well established, however, the integration of HRV in tactical workflows, especially for end-users, has received limited research attention. Therefore, the overarching aim of this programme of research was to determine the utility of HRV assessment in the support of specialist police and their organisations and to alert stakeholders to potential instances of psychophysiological overstress. Chapter 1 introduces HRV concepts within tactical contexts. Components of tactical work that may be best appreciated with HRV analysis are highlighted. Principles in this introduction are further articulated in a systematic review (Chapter 2). Chapter 2 reports on the undertaken systematic review which summarised and critically appraised studies of HRV applications across tactical populations. Of 296 initially identified studies, twenty were included. The volume of evidence suggested that HRV effectively supports health and performance measures in tactical environments. However, literature gaps were identified; most notably, there was limited evidence available regarding HRV in specialist police professions, thus warranting this research. As professional requirements and potential allostatic load sources differ during specialist police selection and subsequent specialist police operational contexts, two research arms were devised to pragmatically address this critical gap. Chapter 3 illustrates the research structure in further detail and outlines which studies address specific literature gaps within specialist police and in which of the two developed research arms. Methodological approaches are also described. Chapters 4, 5, 6, and 7 encompass HRV application in initial specialist police selection. Chapter 4 introduces the first field study, building on the findings from Chapter 2 (Studyiii1) that HRV assessment may be more valuable than traditional heart rate (HR)measurement for monitoring tactical training as HRV is capable of measuring stress holistically. The primary aim therefore was to investigate whether HRV was more sensitive than HR at monitoring workload during specialist police selection activities. As aerobic fitness is associated with workload during these tasks, a secondary aim was to investigate relationships between HRV, HR, and maximal aerobic fitness. As illustrated by a time-series plot, HR values were unremarkable while HRV values were potentially depressed, and tentatively indicative of overstress. Estimated maximal aerobic fitness (20-m shuttle run) was significantly positively correlated with HRV, but there was no relationship with HR. When a linear regression model was applied, neither HRV nor HR were predicted by 20-m shuttle run scores. Chapter 5 aimed to determine the effectiveness of HRV in differentiating between candidates that failed to complete specialist selection from those who succeeded. HRV was defined as the percentage of R-R intervals that varied by at least 50ms (pRR50). Data were summarised in a heat map. A logistic regression model was generated that effectively predicted attrition but did not identify the most successful candidate. Therefore, the aim of Chapter 6 was to profile HRV characteristics of that successful candidate and consequently a detailed HRV time series plot was generated. Contextual analysis was applied, and the candidate demonstrated continued performance even under apparent duress, both physical and psychological in nature. The subsequent studies (7-9)then aimed to consider HRV monitoring at the operational level where such duress exposures occur frequently. Noting that success in training is distinct from operational performance, Chapters 7, 8, 9,and 10 examined the use of HRV monitoring in operational contexts. The purpose of Chapter 7 was to identify if HRV analysis could classify candidate performance in specialist police selection during occupationally realistic tactical operations scenarios which required fluid psychomotor skills, teamwork, and leadership while under duress. Qualitative analysis of descriptive statistics indicated that the HRV data of one participant were substantially different from his peers. This candidate was also the highest performer, suggesting a relationship between HRV and occupational aptitude. Given that specialist police often work rotating shift schedules which may lead to sleep deprivation, introducing another source of allostatic load, the aim of Chapter 8 was to determine the extent to which HRV may detect differences between specialist police that worked an overnight shift and those that were off duty overnight. HRV was analysed in11 male specialist police officers who were either off-duty or on overnight duty prior to engaging in specialist assessment activities. All officers experienced HRV perturbations from the assessment, but post-assessment HRV was greater amongst those who were coming on duty. HRV values continued to decline after assessment success amongst those that worked the night prior to training, potentially indicating greater stress loads in those that worked the overnight shift. Chapter 9 further explored HRV changes observed in Chapter 8. The aim was to identify relationships between physical fitness as measured by completion time on a primarily anaerobic occupational obstacle course, and HRV response during firearms qualification and subsequent stress training. HRV was assessed as the within-operator change from pre- to post-qualification and post-training. HRV was reduced after training but not after qualification. A linear regression model indicated that obstacle course completion time predicted HRV changes from baseline to both post-qualification and post-training. While stressful training and overnight shifts are regularly encountered in specialist police work, other tasks, such as serving in Directing Staff (DS) roles on selection courses for future candidates are also important duties and present as a nexus between operations and selection. Thus, Chapter 10 considered the critical operational role of DS cadre. The purpose of this study was to monitor and analyse the HRV of one DS member during their 24-hour shift on a candidate selection course. The findings of this case study suggested that DS may be subject to stress levels not unlike those of candidates. This is of note as selection courses are highly taxing and arduous, and officers may serve as DS on more than one course per year and still be required to perform their operational duties.DS requirements during selection courses should therefore be considered appropriately in the overall deployment and operational task scheduling paradigm.Each previous chapter considered important elements of service in a specialist police organisation. The final chapter (Chapter 11) summated the findings from this programme of study, contextualised the works in terms of the bodies of literature with which they were most associated, and highlighted overall limitations as well as plausible future directions. A final supplementary chapter, aimed to provide an operational guide for utilising HRV data in tactical settings, contributed to further support translation of research to practice. In this supplementary chapter, shortcomings of using HRV were reviewed and solutions to avoid flawed analysis provided, as are the key lessons learned from this thesis. In essence, the presentation and visualisation of HRV data may be as critical to the application of HRV analysis as the measurements themselves in tactical settings